Mesenteric panniculitis

Case contributed by Dr Jan Frank Gerstenmaier

Presentation

This patient presented to the outpatient clinic with abnormal liver function tests. She was asymptomatic.

Patient Data

Age: 52
Gender: Female

MRCP for deranged liver function tests

Modality: MRI

Mildly dilated biliary tree without cause seen.

Stranding of mesenteric fat with pseudocapsule and small lymph nodes.

Case Discussion

The oedema within the mesentery results in fractional intravoxel fat and thus in signal drop on T1 opposed phase in an area that otherwise maintains signal. Typical appearances with are within the small bowel mesentery demonstrating some oedema, and containing small lymph nodes.

The diagnosis of mesenteric panniculitis is somewhat controversial but many consider it as part of the sclerosing mesenteritis spectrum.

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Case Information

rID: 32603
Case created: 4th Dec 2014
Last edited: 13th Dec 2015
Inclusion in quiz mode: Included

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